1986-092 C/O Paid
CERTIFICATE. OF OCCUPANCY .
• TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date dune• 1.3 19 86
1E1) 1 iq_i_io
This is to certify that work requested to be done as shown by Permit No. 86m92
has been completed.
•
This structure may be occupied as a One-Family Dwelling
•
Lot 22 Grouse Circle (St. No. 9)
Location
Pro-Craft Inc.
Owner
By Order Town Board
TOWN OF QUEENSBURY
1ti
( d Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY 86-92
No.
WARREN COUNTY, NEW YOR K
PERMISSION is hereby granted to Pro—Craft, Inc.
OWNER of property located at Lot 22 Grouse Circle (St. No. 9) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
Pheasant Walk
rt,
rt
Queensbury, NY
H
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
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4. ARCHITECT'S Name tv
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5. ARCHITECT'S Address
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n
H•
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6. TYPE of Construction— (Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( )
C9
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7. PLANS and Specifications
54'x34' per plot plan, specifications and application submitted
No. including two—car attached garage and sewage system.
8. Proposed Use
One—Family Dwelling
0
$5.00 C/O Paid
sv
129.00 Nov. 1 86
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 H.
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) t7
Dated at the Town of Queensbury this 4th Day of April 19 86
OR
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
11 TOWN OF QUEENSBURY
(Space inside block to Ix' filled in by
� � WARREN COUNTY, NEW. YORK Building Inspector)
-'' Application No. '
Application for®� • Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 'g
7.,,nrii, District . /
. \ aloe of Work ,%
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'1"' "`•cl by
showing the actual dimensions of the lot to be built ltc'marKS'
upon, The exact size, and location on the lot of the •
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
I / I - a /-3 t ' C 'TOWN OF QUE NSSLW z'
DATE • , N a a E i V E -a)
A PERMIT MUST BE OBTAINED BEFORE BEGIN
NING WORK
ANSWER ALL OF THE FOLLOWING. MAR S i 9fib
Gr
The undersigned hereby applies for a permit to do the. following work d 34' to6- Part.
which will be done in accordance with the description, plans and specifi- 1�Li41gs _r •y, ; ; , ,)W1 1 4151
cations, and such special conditions as may be indicated on the permit. ,„ C-- O U4.:.,
The owner of this property is: _ ! r
(P.O.ADDRESS)
The person responsible for. supervision of the work insofar
as the Building Code and the Zoning Ordinance apply is:
. . . • 4 fl N A E
1 !1-'1 K � �L. .I P
�.
M (P O.ADDRESS)
Name of Builder //•/O .(�f.a it I Address . . . ,, .L
Name of Plumber. . r.i-f.( L • • .1 V.L. -S.'• • • • • • • • • .Address . .• r?den
X- Name of Mason. . . P..0• �•�•�,n /�-•c' 6-7 t Address _
7 Lot Number. . . . �-� dJnit'''Z:.S. • • • • • . Estimated value of proposed work . . *
Name of Village 6• ( :L= NSbesetX�' , - i
Name of Street . . . r. eG2L� ?.t=_ .. . . . (✓.0(21!t-'" - Side of street: north 0, east ❑, south O. west 1p
Nearest Cross Street Pt+i:.r.?:S.h1 A.!. . GO r/.L K Distance from this cross street , i---' CI) Ft.
Property is north 0,south ❑,east , west' 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q, southwest
•
(Designate by marking with an "X" in the correct space.)
• NATURE OF PROPOSED WORK OCCUPANCY
Main Building
I. Construction of a new building. One family dwelling
❑ Addition to a building. • CI
Alteration to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house D.
Store building ❑
. . c? -car attached garage EL
• Other:
Accessory Building
One-car detached garage
0 Other work. Describe Two-car detached garage ❑
. Private chicken house ❑
Private storage building ❑
Other:
ZONING SPECIFICATIONS. Fill.in for new building, or addition to existing building, or a change of occupancy.
. Indicate on the plot plan street names, the location and
. size of the property, the location, sire and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s)•in dotted line and existing
f / /t A. fr'/i cafe c--(� huilding(s) in solid line.
. . Size of property •5 Z. X 3// Xzft x x . z3.Z. . . . ft.
i/ Size and use of existing buildings, if any
.v
I- -
Vl �l <
s L m Size of proposed building . . . . . • cft• ft.x . . . . . ..Lf. ft.
Z Height (from grade to ridge) t ft.
(�a i
2 ft.
Front yard "
Side yards • '. 31 r ft. and ) i:1 1 ft.
Rear yard / y/ ft.
SOUTH If on corner,setback from side street ft. .
Note: All distances are net, as measured from street side
line to nearest part of building. •
(OVER)
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.' 64-'06":, 2) /:::. '1 /v1 C
Will any second-hand lumber be used? /V C) If so, for what?
Material of foundation walls 6 cc",C " Thickness . . "
grade Depth of foundation walls below ILO Continuous foundation?
Will there be a cellar? . . L: -,. . . . . If so, material of cellar floor . . . .Co A!.e'_-
Type of roof: Sloped or flat? . ...5..C. 1) /.'L -'P . • Material of roof . . :. /''/ A-'o'Z C
Size, wood studs ?. "x G:.", spacing ."o.c., length. S • ft.
Size, floor beams, 1st floor 2,-:" x /0.", spacing /r ."o.c., span %% ft.
Size, floor beams, 2nd floor ' Z" x /f''.", spacing / "o.c., span if ft.
Size, ceiling beams {mil OW; .S•�; ", spacing "o.c., span ft.
Size, roof rafters or beams ' x ",spacing J
( "o.c., span ��' ft.
Exterior finish .J%.//A1G" With what material? . . v/. /L!�.L_. . . . . . . . . . . . . . . . .
Finish of interior walls /9�'/ %�i S- .i g�' C is -
If garage is to be attached,iv
what material is wall between garage and main bui.Lding to be constructed?
,;2. X(6,. .v" F. .(.,A'.c7. .2,r. Ti.::.:. . . ,5),L / c'
/2 c) 1C' .
Is there to be an opening between garage and building? 'c 3• .
Kind of heating system Cy`(- c= Oil burner or coal?
Will a•flue-lined chimney be provided? . .I. . .7.L•:=. .?.. 7-. . . Depth of chimney foundation below grade 1
Height of chimney above roof
Will there be a fireplace? /.CE S . Depth of fireplace hearth Z 1
Will a toilet be installed' . �/:, j , '
Will a kitchen sink be installed and connected to water supply? if —`.a
Water supply (public water supply or pump) . . . . . . . .F'.C.i.0.t_A c_
•
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? 1Yt.5
Town of Queensbury l AFFIDAVIT
County of Warren
State of New York
I swear that to it, bv;a of my know,Iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, area true and co.a.p•lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner. /� /
Sworn to before me this Signature 2. 4.. . . Ili .s� �iL-..1, e,- ,c :a-- .............. ....
.. OWNER.OWNER G NT.ARCHITECT,GO RACTOR
:3..I...day of AI ci rit. 19r`f..6a. %�•- I�JC ///-/ /i'R- .
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By •
•
•
TOWN OF QUEENSBURY
/
WARREN COUNTY,• NEW YORK
•
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
' STATE ENERGY CONSERVATION CODE
• A permit must be obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area
2 . Type Of heat
3 . Is the building mechanically cooled? /SU O
4 . Percentage of area of windows and doors /'/. .5
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
•
exposed to ambient conditions
2. Floor over heated spaces. YES NO •
a. Are foundation walls• insulated? YES NO
• 1. ' If YES , what is the R value?
3. Slab on grade YES NO
a. If YES , what is the R value of insulation around
perimeter of floor?
4. Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
• 1. R value of roof and floors exposed to ambient conditions
77c_D
•
2 . R value of exterior wallsi- / '
3 . R value of glazed area /' 6
4 . R value of doors •
,
15. R value of floors over unheated spaces 1. /i
•
6. R value of slab edge insulation - unheated slab .
7 . R value of slab insulation - heated slab •
8. R value of heated basement/cellar walls (above grade) -�
• 9 . R value of heated basement/cellar walls (below grade) •
r _
10 . Type of insulation /4-/4.5E 6-CL/4 S .6 A-rr.
. C. Controls
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES, R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation
F. Service Water Heating
1. Performance efficiency • SY, /;
2 . Temperature control setting maximum /fe) c'
G. For Swimming Pool Only --.,
• 1 . Maximum heating
Telephone No. / V, - 1333 -
(ap licant ' s signature)
• �i --- r2et- R<C>&
•
awn of Queni4uij
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
Owner ' s Name fRU (p A .l,tJC . Tel. 79e /'y
Address — L,j.%-22 �i�G»I.�'L: ( 41 /_6:
Person/Firm installing system. / o Ce/tr j
Number of bedrooms (residential only)
Total daily flow: (compute @ 150 gal.per bedroom per day)_ .'
Topography: flat rolling - steep - (circle one) Degree of slope %
Nature of soils: sand-loam=clay- other- Depth Q%Aft.
Ground water-- at what depth? '2 ft.
Bedrock or impervious material--at what depth? 7- ft.
Percolation Test Not require / Required -Rate min/inch.
Domestic Water Supply(unicipah'= Well - Other
IMPORTANT!
On a separate piece of paper , submit a -diagram of the proposed septic
system with all dimensions; including distance from any structure-,
distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond or., wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size 4o-o gal.
Tile field- Length of each trench qg( ft. Total field l9 2- ft.
Size of stone # 2-
Seepage Pit (s) Number. / Size ftX ft. Size of stone#
Any contractor, corporation, individual,Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved, application, will be subject to a Penalty of $250
as provided .for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
0 C' � 3V / ff
Signature of Applicant - Date
01/86 and/vl
TOWN OF-QUEENS-BURY
• • Building Department
•
Inspectors Report Date
Name P/1j—
L.ocation ,Z
Permit No. (a 5-a Weather .
\- p Remarks
Excatia t.ion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing fr„ &c K.
Siding V 611
Masonry Veneer
Rough Plbg. f
Relief Valves t/�Q7,K
Wall Board ler Q,
Ext. Porches V Q�(�'
Finished Floor
Interior Trim ,K.,
Stairs & Railingst prK,.
Cellar Dr. Tile
Concrete Floors f
Plbg. Fixtures V �4( P
Gar. Fireproofingt/ ,iC !�
Door Closers 1/ (),K,
Chimney /
. Water Meter Inst. 1
Septic Approval . \\\\
Floors
Insulation Found thin
Walls
Ceiling
Building Inspector
REMARKS
_awn o/ Quecniburcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME PrO
LOCATION L h%i_ C rwo,
DATES/ 30 / PERMIT NO. 3(n-9a
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length Z 6-o
Length of each trench
Depth of trenches tr,`''
Size of. gravel 2-
SEEPAGE PITS{Number of)
Size- X ft.
vel size
PIPING: Size Type
Bldg. to tank -r P UL
Tank to dist. box LAL
Dist. box to field/.it
Openings sealed? 410V NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption ft rt--
Absorption to lot line 30 ft-t—
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
/0Eo 61-L, S'a i tc I -v
. 6
ff a
SYSTEM USE APPROVED YES NO
V �
Building Inspector
01/86 and vl
TOWN OF QUEENSBURY
Building Department
Inspectors ItTort Date ./(.5 ''
Name Pito e°VA-.o-•i
Location 1.e 2 Z- P n tp i1:%j C-;nc i z_
Permit No. - `1 a Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing C /
01
Roof Felt
�d%L- 6 L
oo
Roofing
Siding
Masonry Veneer d )
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
l(
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers j
Chimney
Water Meter Inst. I
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
4' IG , Zl�
B ildi Inspector
REMARKS
pArcr74- Acrioxf
VtCi I-- /#-n& ,t)K-
TOWN OF QUEENSBURY
Building Department
Inspectors Date /
Name rad
e c sS�4
4—FT--
Location --
Location l C t20 u s 6-ct n c t.&
Permit No. 86- 9 2 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey -
Framing �!
Sheathing
Roof Felt
Roofing
Siding.
Masonry Veneer �/�
Rough Plbg. 3-/V[)-i12.6-A19
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation,
Walls Alp
• Ceilin•�,
(Building Inspector•
REMARKS
r
/YO eiL
TOWN OF QUEENSBURY
Building Department
lespectot ter
Date 4/
Name TZ2 cnot/54 CfF2CL�/�
Location •
Permit No. a Weather
Remarks
Excat>aton
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing V
Backfill � f--Iti--
Final Survey •
Framing
Sheathing
Roof Felt •
Roofing
Siding •
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board \ . I
Ext. Porches '\ ,� •
Finished -Floor-
Interior Trim
Stairs & Railings
Cellar Dr. Tile ]' 1 •
Concrete Floors / \ _
Plbg. Fixtures /
Gar. Fireproofing / •
Door Closers /
Chimney
Water Meter Inst. 1
Septic Approval •
Floors •
Insulation Foundation •
Walls ' •
1 ing
\v� Building Inspector
REMARKS
14-0 S$PI- WP12
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date j• ict
Name P?D-- Cf2.4p
Location T2 ,� a t v'WS B
Permit No. g b- £a Weather
Remarks
Excat•7a tion
Footing• Forms Zo.t<
Footing & Piers v toj
r'
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches •
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
///V
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
I.b.,,.i.;Vti_,[!ti ttl jq,lipi,,.i,1.1_t! ,,ipi ,fi..s.A".la..,,...(,�y! ,,,, ..,,1.i.".at,!, ti."." 1.i:, ,".a.t,...i:.�.!.j.!.". .."..",aL..". .1,,! op!," ,111,4 .? ti M!, .x.,,SIN.1"/„••i. •cw n,.s.,,.,•,.4!
4-°57 1 I THE NEW YORK BOARD OF FIRE UNDERWRITERS
�, , BUREAU OF ELECTRICITY .
'' I / 41 STATE STREET,ALBANY.NEW YOR1(12207
.July 16, 19 0Ca (?�JW'Fi_'�-�
, Date Application No.on file
►c` THIS CERTIFIES THAT `1
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Pro Craft elders, Lot 22, Grouse Circle, Qusunsbur, New York
,` outside
• in the following location; El Basement Basement 1st Fl. ❑ 2nd Fl. Section Block Lot
was examinedon6'/F•3/86 and found to be in compliance with the requirements of this Board. '4
1, . P
,; FIXTURE ' I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ':
�, OUTLETS RECEPTACLES SWITCHES MEllcuer
� 1 INCANDESCENT-FLUORESCENT y�pR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. rF,
• 24 461 18 23 1 , fr
.0 DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS •'-
P
, SYSTEMS
AMT. K.W. 1 OIL H.P. i GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO,OF FEET AMT. WATTS •,!I
►t' J. L cti lty l;- J'i i 0 - - 'i
1, /
•1; 1 dryer 3 •10 ':
•''
•
• SERVICE DISCONNECT; NO.OF _ S- - E --- - R- - V 1 —-- C-- --E --- - -- - __
�. METER
. AMT. AMP. TYPE EQUIP. 1.2 2W 1 Jd 3W 30 3W 30 4W NO.OFpER COND. OF CC.COIJD.. NO.OF HI-LEG OF•HI.LEG NO.OF NEUTRALS OF NEUTRAL
1.6
1 200 4'3 1 x 1. /-/0 1 2/0
i •/ i
is OTHER APPARATUS: P
I Electric Heaters: 3- 2.0 kw ,,'
' 4- 1.5 k
1.4 afci ' 2-- 1.0 1
1- smoke .detector - 2- o5 k;r
1. i
'S! I
-i' '
,' f
•1
'
,; • •.9
1
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'
1;
( �?�
"hectic CO.
' `7 13174c h. Lang
.-.< �a ilant' y 1s icy y �7 c:{! BRANCH MANAGER V '':
` Per ✓. 280
'? '
; This certificate must not be.altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their crede
ntials.entials. ':
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
f/ 1
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